| NPI | 1225807498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERNORIA CHILDRESS SMITH Clinical Director 702-573-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-02-01 |